MR. KYLE LOUIS PELTOLA M.ED. LPCC NPI 1386113876

NPI Information

NPI: 1386113876
Provider Name: MR. KYLE LOUIS PELTOLA, M.ED., LPCC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
402 UNIVERSITY AVE E
SAINT PAUL, MN
ZIP 55130
Phone: (651) 587-1292
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MR. Kyle Louis Peltola, M.ED., LPCC is a mental health counselor in Saint Paul, MN. MR. Kyle Louis Peltola, M.ED., LPCC NPI is 1386113876. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

402 UNIVERSITY AVE E
SAINT PAUL, MN
ZIP 55130-400
Phone: (651) 587-1292

The NPI 1386113876 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 11/14/2018 and was last updated on 11/14/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	CC01965	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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